4196 Diamond Dr - Inspection Form
Residential Sanitary Sewer Service
City of p Compliance Inspection
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Date 1J Time ~pm Record Number
~9 S O am
idame r.°> isk # 1 1 Time • ~J Pm
PID Number 1 I
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Mouse Number 'Street Name
Alternative Mailing Address Phone
OwnerlOccupant Signature lnsp~ ct` r Signature
For information call 651.470.2788
Co pliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water, connections to Unable to push past O No one in
KNo roof drain connection sanitary sewer- feet O Access to service
O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer,
~No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S.L.at Atc et~ iJ
Roots
Poor Pipe joints
Mineral Deposits
PSag/Pipe Deflection' -~L
t i
Damaged Pipe
Transition
4" to 6"Transition: r ~I Length of Service: Final Cleanout:
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps'"
Foundation drains
Roof drains
White Copy: Property OW-ter Yellow Copy: City of Eagan Pink Copy: SEH